The ball point pen trach is an old field medic maneuver. It's effective.

And as an aside ... the cellophane off a cigarette pack will close a sucking chest wound (or a sandwich baggie, a piece of saran wrap, etc), and maxi pads make great pressure pads for trauma. Also you can cover the protruding end of a compound fx with one and keep it irrigated with saline.

Who is this poor girl?

Disclaimer...

Let me make this perfectly clear...Names, ages, genders, locations, hospitals... All fake. Totally and completely fake. Any similarity to any event that's ever taken place in the history of man is purely coincidence. My thoughts, beliefs, etc. are my own and may or may not be the thoughts, beliefs, etc., of my employer, my school, or anyone I know.